| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
956 |
825 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
809 |
679 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
897 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
361 |
322 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
241 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
189 |
166 |
$8K |
| 90670 |
|
220 |
197 |
$5K |
| 90686 |
|
343 |
323 |
$4K |
| 90677 |
|
136 |
121 |
$4K |
| 90697 |
|
189 |
179 |
$3K |
| 90680 |
|
186 |
171 |
$3K |
| 90656 |
|
107 |
107 |
$2K |
| 90698 |
|
34 |
27 |
$539.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
31 |
$502.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$438.20 |
| 87081 |
|
15 |
14 |
$87.00 |
| 90651 |
|
13 |
13 |
$83.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
35 |
$0.00 |
| 90461 |
|
176 |
157 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
525 |
461 |
$0.00 |